Provider Demographics
NPI:1750158085
Name:YELA, EMMA BROOKES MCCUE (FNP-C)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:BROOKES MCCUE
Last Name:YELA
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:B
Other - Last Name:YELA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:5910 CUBERO DR NE STE A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3868
Mailing Address - Country:US
Mailing Address - Phone:058-594-1915
Mailing Address - Fax:505-308-3192
Practice Address - Street 1:5910 CUBERO DR NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3868
Practice Address - Country:US
Practice Address - Phone:505-859-4191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-77002363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily